Dr Christofer Ecklund, PSYD is a
Clinical Neuropsychologist based in Portsmouth, Virginia. Dr Christofer Ecklund is licensed to practice in Virginia (license number 0810005416) and his current practice location is
620 John Paul Jones Cir, Department Of Mental Health, Portsmouth, Virginia. He can be reached at his office (for appointments etc.) via phone at
(757) 953-7641.
NPI number for Dr Christofer Ecklund is 1215176391 and his current mailing address is 620 John Paul Jones Cir, Department Of Psychology, Portsmouth, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215176391.
Healthcare Provider's Profile
| Full Name | Dr Christofer Ecklund |
|---|
| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 620 John Paul Jones Cir, Portsmouth, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215176391
- Provider Enumeration Date: 02/12/2009
- Last Update Date: 09/27/2016
Medical Identifiers
Medical identifiers for Dr Christofer Ecklund such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215176391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY60140493 (Washington) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY60140493 (Washington) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 0810005416 (Virginia) | Primary |
| 103TC0700X | Psychologist - Clinical | 0810005416 (Virginia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Christofer Ecklund is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Christofer Ecklund, PSYD
620 John Paul Jones Cir, Department Of Psychology,
Portsmouth, VA 23708-2197
Ph: () - | Dr Christofer Ecklund, PSYD
620 John Paul Jones Cir, Department Of Mental Health,
Portsmouth, VA 23708-2197
Ph: (757) 953-7641 |
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